Individual
REBECCA ANNE GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
6032 40TH AVE, KENOSHA, WI 53142-7018
(262) 287-1999
Mailing address
6032 40TH AVE, KENOSHA, WI 53142-7018
(262) 287-1999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158960-30
WI
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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